Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Neuromuscular effects of warm needle acupuncture versus mild moxibustion in knee osteoarthritis: An active-controlled randomized trial.","authors":"Gengzhao Chen, Chanjuan Su, Xin Chen, Yulong Zou, Senlin Chen, Zhichen Wang, Qianhong Zhu, Qiuyi Luo, Saie Huang","doi":"10.1177/10538127261499244","DOIUrl":"https://doi.org/10.1177/10538127261499244","url":null,"abstract":"<p><p>BackgroundKnee osteoarthritis (KOA) is associated with neuromuscular dysfunction and impaired quadriceps activation. This study compared the short-term neuromuscular effects of warm needle acupuncture (WNA) and mild moxibustion (MM).MethodsIn this single-center, assessor- and statistician-blinded randomized controlled trial, 60 patients with KOA were randomized 1:1 to WNA or MM for 4 weeks. Thirty healthy participants provided an exploratory physiological reference at baseline. Co-primary outcomes were isokinetic quadriceps peak torque (PT) and average power (AP). Secondary outcomes included VAS, WOMAC, thigh circumference asymmetry, and surface electromyography (sEMG). Between-group effects were assessed using baseline-adjusted ANCOVA.ResultsAt week 4, WNA showed greater baseline-adjusted improvements than MM in PT (adjusted difference 18.38 N·m, 95% CI 11.69-25.06; Holm-adjusted <i>p</i> < 0.001) and AP (10.45 W, 95% CI 6.61-14.29; Holm-adjusted <i>p</i> < 0.001). VAS and WOMAC also favored WNA, whereas thigh circumference asymmetry was not significantly different. Selected absolute sEMG parameters differed between groups. Credibility and expectancy were comparable, and no serious adverse events occurred.ConclusionsWNA was associated with greater short-term improvements than MM in quadriceps strength, pain, and function. These findings support comparative effectiveness of WNA versus MM but do not isolate thermal-specific, placebo-specific, or expectancy-independent effects.Trial registrationITMCTR2025001238; registered on 16 May 2025 after completion of participant recruitment and follow-up (late/retrospective registration).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261499244"},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding pain: A patient's perspective informed by pain science.","authors":"A P Wolff","doi":"10.1177/10538127261497881","DOIUrl":"https://doi.org/10.1177/10538127261497881","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261497881"},"PeriodicalIF":1.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associated factors of low back pain classified by severity and chronicity among care workers: A cross-sectional study.","authors":"Daiki Yokoyama, Tomohiro Otani, Shuntaro Tamura, Kazuki Fujisaki, Tomohiko Sato, Tetsuya Yamagami, Shigeru Usuda","doi":"10.1177/10538127261496997","DOIUrl":"https://doi.org/10.1177/10538127261496997","url":null,"abstract":"<p><p>BackgroundLow back pain (LBP) is a major occupational health problem among care workers. However, few studies have classified LBP by both severity and chronicity or examined associations of health literacy with presenteeism. This study aimed to assess LBP prevalence, classify LBP by severity and chronicity, and identify the associated physical and psychosocial factors. We conducted a secondary exploratory analysis to examine hypothesized indirect associations between health literacy and presenteeism involving psychological distress and LBP-related disability.MethodsA cross-sectional survey was conducted among 1022 care workers employed at long-term care facilities. Participants were categorized into five groups: non-LBP and four LBP groups defined by severity (non-severe vs. severe) and chronicity (non-chronic vs. chronic). Sociodemographic, work-related, health literacy, and psychosocial factors were analyzed using multinomial logistic regression. The secondary exploratory analysis examined the hypothesized indirect statistical associations using psychological distress and LBP-related disability.ResultsThe prevalence of LBP was 75%. Severity and chronicity were not fully concordant, supporting classification by both dimensions. Unsuitable posture was associated with all LBP groups. Severe LBP was associated with higher psychological distress and greater presenteeism, whereas low health literacy was independently associated with severe chronic LBP. The secondary exploratory analysis identified significant indirect associations of health literacy with presenteeism involving psychological distress and LBP-related disability.ConclusionsLBP among care workers is highly prevalent and multifactorial. The factors associated with LBP differed according to severity and chronicity, highlighting the importance of considering both dimensions together with physical and psychosocial factors when assessing LBP among care workers.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496997"},"PeriodicalIF":1.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate and 30-min effects of active versus passive scapular correction on clinical and sensorimotor outcomes in individuals with neck pain and scapular dysfunction: A double-blind, randomized, sham-controlled trial.","authors":"Nipaporn Wannaprom, Sinthuporn Maharan, Suphannika Ladawan","doi":"10.1177/10538127261496990","DOIUrl":"https://doi.org/10.1177/10538127261496990","url":null,"abstract":"<p><p>BackgroundScapular correction has been demonstrated to improve pain, cervical range of motion (CROM), joint position error (JPE), and pressure pain threshold (PPT) in individuals with neck pain. However, whether active or passive scapular correction produces superior acute, short-term adaptations remains unknown.ObjectiveThe study aimed to investigate the immediate and 30-min follow-up effects of active and passive scapular correction, compared to sham control, on pain, CROM, JPEs, and PPTs in people with neck pain and scapular dysfunction.MethodsIn this double-blind randomized controlled trial, seventy-eight participants with neck pain and scapular dysfunction were randomly allocated to active, passive, or sham scapular correction. Each intervention consisted of 10 repetitions of 10 s: active self-correction in the active group, physiotherapist-performed passive correction in the passive group, or gentle touch in the sham group. Pain, CROM, JPEs, and PPTs were assessed at baseline, immediately post-intervention, and at 30-min follow-up.ResultsImmediately post-intervention, both active and passive groups demonstrated reduced pain intensity and increased CROM and PPTs compared to the sham group (all <i>p</i> < 0.05). At 30-min follow-up, these improvements were maintained only in the active group (all <i>p</i> < 0.05). Reductions in cervical and shoulder JPEs were observed only in the active group immediately post-intervention (all <i>p</i> < 0.05).ConclusionBoth active and passive scapular correction effectively improved pain intensity, cervical mobility and pain sensitivity immediately after intervention. However, active scapular correction may provide greater benefits by maintaining these effects at 30-min post-intervention and immediately improving joint position sense.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496990"},"PeriodicalIF":1.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between left/right judgment task reaction time and clinical and psycho-affective measures in women with fibromyalgia syndrome: A cross-sectional study.","authors":"Felipe Araya-Quintanilla, Iván Cuyul-Vásquez, Erick Atenas-Núñez, Ariel Reyes-Meza, Carolina Torres-Torres, Joaquín La Pietra-Salmerón, Waleska Reyes-Ferrada, Héctor Gutiérrez-Espinoza","doi":"10.1177/10538127261496995","DOIUrl":"https://doi.org/10.1177/10538127261496995","url":null,"abstract":"<p><p>BackgroundThe relationship between reaction time on the left/right judgment task and clinical psycho-affective measures is unknown in women with fibromyalgia syndrome.ObjectiveThe aim of this study was to determine whether there is a relationship between reaction time on the left/right judgment task and clinical and psycho-affective measures in women with fibromyalgia syndrome.Materials and Methods113 women with fibromyalgia syndrome were recruited. All participants underwent assessment using the left/right judgment task, administered via the Recognise™ application. Kinesiophobia and pain catastrophizing were assessed using Tampa Scale Kinesiophobia, and Pain Catastrophizing Scale. Functional health status was assessed with the Fibromyalgia Impact Questionnaire, pain intensity with Visual Analog Scale, central sensitization with Central Sensitization Inventory. Pearson's correlation coefficients were calculated to assess associations between reaction time and clinical and psycho-affective measures. Finally, exploration stepwise multiple linear regression performed to identify predictors of FIQ.ResultsThe results showed a positive association of higher values of the Fibromyalgia Impact Questionnaire with left shoulder reaction time (<i>β</i> = 0.80; CI 95% 0.74 to 0.97; <i>p</i> = 0.009), left cervical reaction time (<i>β</i> = 8.41; CI 95% 3.85 to 12.96; <i>p</i> = 0.001), left hand reaction time (<i>β</i> = 0.11; CI 95% 0.10 to 0.21; <i>p</i> = 0.013), left low back reaction time (<i>β</i> = 7.7; CI 95% 7.1 to 12.5; <i>p</i> = 0.034) and right low back reaction time (<i>β</i> = 8.3; CI 95% 3.6 to 15.0; <i>p</i> = 0.016), with the regression model explaining 16% (<i>R</i>² = 0.16). For correlations showed an association with Pain Catastrophizing Scale and left cervical (<i>r</i> = 0.23, <i>p</i> = 0.011).ConclusionIn this exploratory cross-sectional study, there was a positive association between Fibromyalgia Impact Questionnaire and reaction time in specific body segments (left shoulder, left cervical, left hand, left low back, and right low back) and low to moderate correlation between longer reaction on the left/right judgment task and poorer clinical and psycho-affective measures in women with fibromyalgia syndrome.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496995"},"PeriodicalIF":1.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture-Related interventions for exercise-induced delayed-onset muscle soreness in active adults: A systematic review and meta-analysis for sport rehabilitation.","authors":"Rui Liu, Hazwani Ahmad Yusof, ZiMei Zhong, BeiBei Gao, Rohayu Hami","doi":"10.1177/10538127261494834","DOIUrl":"https://doi.org/10.1177/10538127261494834","url":null,"abstract":"<p><p>BackgroundDelayed-onset muscle soreness (DOMS) is a common post-exercise condition that can impair athletic performance, training quality, and rehabilitation.ObjectiveTo evaluate the efficacy and safety of acupuncture-related interventions for exercise-induced DOMS in active adults.MethodsPubMed, Embase, Cochrane Library, and CNKI were searched from inception to December 2025, with a manual reference-list update in January 2026. Randomized controlled trials comparing acupuncture-related interventions with sham/placebo or no treatment in healthy adults with exercise-induced DOMS were eligible. Nine RCTs met the eligibility criteria, and seven contributed compatible pain data to meta-analysis. Two reviewers independently extracted data, assessed risk of bias using RoB 2, and rated evidence certainty with GRADE. Pain intensity on a 0-10 visual analogue scale was pooled using random-effects models.ResultsAcross seven RCTs, acupuncture-related interventions reduced DOMS pain at 24 h (MD -0.62, 95% CI -1.01 to -0.23), 48 h (MD -0.71, 95% CI -1.20 to -0.22), and 72 h (MD -0.84, 95% CI -1.35 to -0.32). Heterogeneity was low (I² = 0%, 3%, and 23%, respectively). None of the pooled estimates reached commonly cited 1.0- or 1.3-point pain thresholds, and no DOMS-specific minimal clinically important difference has been established. Evidence certainty was moderate.ConclusionAcupuncture-related interventions may provide modest short-term reductions in DOMS pain, but their clinical importance remains uncertain. The evidence base is small and does not support dry-needling-specific conclusions. Larger, rigorously controlled, modality-specific RCTs are needed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494834"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic neuromuscular stabilization in the management of chronic spinal pain: A systematic review and meta-analysis.","authors":"Tabassum Fatima, Zainy Khan, Iram Iram, Shabnam Khan, Sana Rehman, Zubia Veqar","doi":"10.1177/10538127261492776","DOIUrl":"https://doi.org/10.1177/10538127261492776","url":null,"abstract":"<p><p>BackgroundChronic spinal pain is a leading cause of long-term disability worldwide. Dynamic Neuromuscular Stabilization (DNS), based on developmental kinesiology principles, has emerged as a rehabilitation approach aimed at improving movement patterns and neuromuscular control. However, its effectiveness in chronic spinal pain remains unclear.ObjectiveTo systematically evaluate the effectiveness of DNS, in reducing pain and improving functional disability in individuals with chronic spinal pain.MethodsThis systematic review and meta-analysis were conducted according to PRISMA guidelines. Electronic databases were searched up to August 2025. Twelve studies involving 531 participants met the inclusion criteria. Pain and disability outcomes were assessed using validated instruments. Standardized mean differences (SMDs) were calculated using a random-effects model. Risk of bias was assessed using ROB 2.0, methodological quality using the PEDro scale, and certainty of evidence using GRADEpro.ResultsDNS demonstrated a moderate effect on pain reduction compared with control interventions (SMD = -0.51; 95% CI: -1.03 to 0.00; p = 0.05), although substantial heterogeneity was observed. A statistically significant improvement in disability was also found (SMD = -0.49; 95% CI: -0.89 to -0.10; p = 0.02). Overall certainty of evidence was low because of methodological limitations and variability among studies.ConclusionDNS may improve functional outcomes in chronic spinal pain, while its effect on pain reduction appears limited. Further high-quality randomized controlled trials with standardized protocols are required to establish long-term effectiveness.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261492776"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Within-session repeatability of femoral nerve shear wave elastography across fixed sequential Thomas test-derived protocol in healthy young adults.","authors":"Olga Sánchez-Ramirez, Ángel González-de-la-Flor, Charles Cotteret, Jaime Almazán-Polo","doi":"10.1177/10538127261494724","DOIUrl":"https://doi.org/10.1177/10538127261494724","url":null,"abstract":"<p><p>BackgroundHip and knee influences on femoral nerve mechanical behavior and SWE repeatability remain underexplored.ObjectiveTo describe scanner-derived SWE estimates from an ROI over the femoral nerve across five sequential Thomas test-derived positions and assess within-session repeatability.MethodsIn a single-session repeated-measures study, 19 healthy young adults underwent SWE in supine, Thomas test-derived, modified Thomas test (mTT) with 45° knee flexion, mTT with 90° knee flexion, and mTT with 90° knee flexion plus active cervical flexion. Shear-wave velocity (SWV; m/s) was the principal outcome. The manufacturer-derived apparent Young's modulus (kPa) was recorded as a secondary descriptive outcome. Three consecutive acquisitions were obtained at each position. Within-session repeatability of the three acquisitions was quantified using ICC, SEM, and MDC95. Repeated-measures ANOVA and Bonferroni-adjusted pairwise comparisons assessed differences across the fixed sequential protocol.ResultsRepeatability of the average of three acquisitions was high (ICC[³], 0.964-0.984; SEM, 0.09-0.10 m/s and 1.59-2.63 kPa; MDC95, 0.25-0.28 m/s and 4.40-7.29 kPa). Estimates differed across sequential positions (SWV: F = 40.20, p < 0.001, ηp² = 0.691; kPa: F = 36.68, p < 0.001, ηp²=0.671). Mean SWV increased from 2.87 ± 0.66 m/s in supine to 4.80 ± 0.59 m/s in mTT with 90° knee flexion. Cervical flexion produced no significant additional increase.ConclusionIn healthy young adults, scanner-derived SWE estimates obtained from an ROI positioned over the femoral nerve showed high immediate within-session repeatability across a fixed sequential five-position protocol. Across this protocol, the highest apparent stiffness and SWV estimates were observed during the mTT position with 90° of knee flexion.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494724"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution of lumbosacral transitional vertebrae subtypes and functional disability in patients with low back pain: A single-center retrospective study.","authors":"Merve Kök, Şebnem Rumeli, Hasan Hüsnü Yüksek, Yakup Yıldırım, Derya Karataş, Kaan Yavuz, Nureddin Teker, Mesut Bakir","doi":"10.1177/10538127261494051","DOIUrl":"https://doi.org/10.1177/10538127261494051","url":null,"abstract":"<p><p>BackgroundLumbosacral transitional vertebrae (LSTV) are a common congenital anomaly that often remain underrecognized in patients with low back pain (LBP), potentially leading to inappropriate management and disability.ObjectiveTo determine the prevalence and distribution of LSTV subtypes in a large LBP cohort and to evaluate functional disability and healthcare utilization in patients with LSTV.MethodsIn this single-center retrospective observational study, electronic records of 20,395 patients presenting with LBP between January 1, 2018 and January 1, 2024 were reviewed. Lumbar and lumbosacral imaging was evaluated and LSTV were classified according to the Castellvi system. Functional disability was assessed using the Oswestry Disability Index (ODI) in patients with LSTV. Associations between ODI scores, age, sex, Castellvi subtype and number of outpatient visits were analyzed.ResultsLSTV were identified in 405 patients (prevalence 1.98%; mean age 52.9 ± 15.2 years; 63% female). Castellvi Type 2a was the most frequent subtype (25.7%). More than half of the patients reported pain duration of 1-5 years and 67.7% had multiple outpatient visits. Patients with multiple visits had significantly higher ODI scores than those with a single visit (42.65 ± 17.30 vs. 29.53 ± 18.05, p < 0.001) whereas ODI scores did not differ significantly across LSTV subtypes (p > 0.05).ConclusionIn patients with LBP, LSTV were present in approximately 2%. Patients with LSTV demonstrated substantial disability and frequent healthcare utilization. Prospective controlled studies are needed to determine whether these findings are specifically attributable to LSTV and to clarify potential causal relationships.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261494051"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of platelet-rich plasma (PRP) intra-articular injection on functioning and kinematic analysis in knee osteoarthritis patients: A prospective observational study.","authors":"Alessandro De Sire, Nicola Marotta, Emanuele Prestifilippo, Maria Sgro, Vera Drago Ferrante, Federica Pisani, Vincenzo Bosco, Filippo Familiari, Umile Giuseppe Longo, Antonio Ammendolia","doi":"10.1177/10538127261496042","DOIUrl":"https://doi.org/10.1177/10538127261496042","url":null,"abstract":"<p><p>PurposeOsteoarthritis (OA) is a degenerative joint disease primarily affecting elderly, with the knee being the most involved joint. Platelet-Rich Plasma (PRP) therapy has shown promise in OA management. Our study aimed to descriptively characterize changes over time in performance, pain, stiffness, and function among patients with knee OA undergoing a combined PRP and physiotherapy protocol.MethodsThis study included patients over 50 years of age with a Kellgren-Lawrence II-III grade of OA. The intervention involved three PRP injections and rehabilitation cycles. Outcomes assessed functional capacity with six minutes walking test (6MWT) and the time-up-and-go (TUG), via an inertial motion unit. OA clinical severity was assessed through Western Ontario and McMaster University Osteoarthritis Index (WOMAC), Numerical Rating Scale (NRS), and EuroQol Visual Analogue Scale (EQ-VAS).ResultsWe included 64 patients (males/females = 23/41), of whom 42 had complete data across T0-T4. WOMAC and NRS scores decreased during the early follow-up period, reaching their lowest values at T2, followed by progressive increases at T3 and T4. TUG showed a significant overall change over time, although no consecutive comparison remained significant after correction for multiple comparisons. No significant changes over time were observed in 6MWT or gait-related outcomes.ConclusionsUnder the combined PRP and physiotherapy protocol, early changes in pain and function were observed, followed by a partial reversal at later follow-ups. No statistically significant changes over time were observed in 6MWT or gait-related outcomes. Given the uncontrolled single-arm design, these findings are descriptive and cannot establish the effectiveness or specific contribution of PRP. Further controlled studies are required.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261496042"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}